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Tips for Managing Neurogenic Bladder Symptoms

Tips for Managing Neurogenic Bladder Symptoms
Kevin Cleary

Key Takeaways:

  • A damaged nervous system can lead to a disruption in your bladder’s function.
  • Injuries to the spinal cord, brain, or your nerves can lead to a neurogenic bladder, also known as Neurogenic Lower Urinary Tract Dysfunction.
  • Symptoms of a neurogenic bladder can differ from person to person depending on which nerves are damaged.
  • Neurogenic bladder treatment is required when nerves are damaged and your muscles won’t tighten/relax when urinating.
  • This condition can be managed and your quality-of-life preserved and HPFY has everything you need, including incontinence products.


Normally, our muscles and nerves work together in harmony to hold or release urine when we need to. When this symbiotic relationship gets interrupted due to an injury or illness, neurogenic bladder symptoms can develop. This can be caused by spinal cord injuries or illnesses such as multiple sclerosis (50%-80% of those affected) or diabetes. Approximately 95% of people with spina bifida can suffer from a neurogenic bladder. Unfortunately, this condition has no cure. This nerve damage begs the question “How can I improve my neurogenic bladder?” Hopefully, I can give you some tips to help manage this disorder.

What Is a Neurogenic Bladder & the Symptoms?

Loss of bladder control due to damaged nerves as a result of a spinal cord, brain, or nerve injury, as well as illnesses such as multiple sclerosis or a stroke is known as a neurogenic bladder. This disorder can lead to embarrassing moments of incontinence, bladder or kidney infections, and a reluctance to be in social situations. Symptoms of a neurogenic bladder include:

  • Leaking urine: Often occurring during the night when sleeping, this symptom can be mild with urinary incontinence occasionally but can be more severe in the case of total paralysis.
  • Urinating frequently: Having to pass urine often (more than eight times a day) can be a sign of a neurogenic bladder.
  • UTIs: The accumulation of bacteria, yeasts, or fungi in the urinary tract is common with an overactive/underactive bladder. UTIs can be treated with antibiotics.
  • Urine seeping/dribbling: The inability to empty your bladder at all can be a sign of an underactive bladder.

While these are common symptoms, each suffering from a neurogenic bladder can experience different symptoms depending upon where and what was injured. The symptoms can also appear to look like other conditions so be sure to consult your urologist.

Neurogenic Bladder Treatment

Since each case of Neurogenic Lower Urinary Tract Dysfunction is different, there are different treatments for each case. Of course, this depends on your injury and properly treating it can help avoid future kidney damage. To develop a proper plan for managing a neurogenic bladder, your doctor will take your medical history, symptom severity, and progression of underlying issues into consideration. Some treatment methods are:

  • Lifestyle changes: Avoiding foods or drinks that irritate your bladder can be a good idea. Stay away from alcohol or caffeinated drinks and be sure to effectively manage your glucose levels to avoid diabetes.
  • Catheterization: Your neurogenic bladder treatment plan can include catheters, either intermittent or indwelling. Intermittent catheters are inserted through your urethra to remove urine from your bladder when needed while indwelling catheters (Foley or suprapubic) are worn at all times. A suprapubic is inserted through the abdomen while the Foley catheter is through the urethra.
  • Medications: Prescription medications can help with Neurogenic Lower Urinary Tract Dysfunction. Drugs such as oxybutynin, tolterodine, or mirabegron can all help treat neurogenic bladder symptoms.
  • Bladder training: You can try visiting the bathroom at scheduled times instead of when the urge hits. Establishing a routine can “train” your body and allow you to know when to void your bladder during times out in public.
  • Surgery: Bladder augmentation or bladder cystoplasty is surgery where segments of your intestines are removed and attached to the walls of your bladder. This reduces the internal pressure in the bladder, increasing the ability to hold urine.
  • Injections: Shots such as Botox can be used to treat your neurogenic bladder. Your doctor can inject botulinum, a toxin, into your bladder or urinary sphincters.

When to Seek Medical Attention

You can manage this condition but if complications arise you should immediately contact your physician or urologist. Complications can lead to damage to the kidney, incontinence, and bladder or kidney infections. If any symptoms worsen or are accompanied by a fever contact your doctor immediately.

Common Products for Neurogenic Bladder Management




Disclaimer: All content found on our website, including images, videos, infographics, and text were created solely for informational purposes. Our reviewed content should never be used for the purpose of diagnosis or treatment of any medical conditions. Content shared on our websites is not meant to be used as a substitute for advice from a certified medical professional. Reliance on the information provided on our website as a basis for patient treatment is solely at your own risk. We urge all our customers to always consult a physician or a certified medical professional before trying or using a new medical product.

HPFY Kevin Cleary

Kevin Cleary

Kevin Cleary has been a Health Products For You contributor for many years and has a degree in marketing. His health and wellness journey has a very personal meaning and has guided him in his content writing for HPFY.

In 2006, ...

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